Application for the 2004 Philadelphia Mary from Dungloe International Festival

2008 Application

for the

Philadelphia Mary from Dungloe International Festival

Name:

Address:

Phone Number:

E-Mail Address:

Age: Height: Eye Color:

Education (school that you attended including high school and college (if applicable):

_______________________________________________________________________

What did you study (concentration in high school or major in college):

_______________________________________________________________________

Activities involved in (both past and present):

_______________________________________________________________________

Awards or Honors won (if applicable):

_______________________________________________________________________

Current Job (if applicable):

_______________________________________________________________________

Hobbies (thing that you enjoy doing and are interested in):

_______________________________________________________________________

Future Plans and Goals:

_______________________________________________________________________

Thing you like about yourself:

_______________________________________________________________________

Family roots in Ireland (who and what part of Ireland):

_______________________________________________________________________

FEEL FREE TO USE ADDITIONAL PAPER IF YOU WOULD LIKE. ALSO INCLUDE A PHOTO OF YOURSELF – IT DOES NOT HAVE TO BE PROFESSIONAL – THANK YOU

Return Application form to:

The Mary From Dungloe Committee

P.O. Box 838
Havertown, PA 19083
Phone: 215-843-8051

Or e-mail to

maryfromdungloe@yahoo.com

(make sure a picture is included with the e-mail).